Bone Grafting

Treatment

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About This Treatment

Bone grafting is a surgical procedure that replaces missing bone with material from patient′s own body, an artificial, synthetic, or natural substitute. Bone grafting is possible because bone tissue has the ability to regenerate completely if provided the space into which it has to grow.

The Process

Bone grafting is a surgical procedure that aims to repair or rebuild bones through the transplantation of bone tissue. In the context of dentistry, it’s commonly used to enhance the volume or density of the jawbone, creating a stable base for dental implant placement. Here’s a generalized guide to the bone grafting procedure, though specific steps can vary based on the patient and practitioner.

Consultation and Assessment

  1. Dental Examination:
    • In-depth oral evaluation and utilizing X-rays or CT scans to assess the jawbone.
  2. Treatment Discussion:
    • Going over the procedure, recovery, costs, and answering any queries.
  3. Bone Graft Material Decision:
    • Determining the type of bone graft material (autograft, allograft, xenograft, or alloplast).

Pre-Surgical Phase

  1. Oral Health Optimization:

    • Addressing any existing oral health issues (e.g., gum disease).
  2. Anesthesia Planning:

    • Selecting appropriate anesthesia or sedation options.

Bone Grafting Procedure

  1. Administering Anesthesia:

    • Ensuring the patient is comfortable and the site is numb.
  2. Site Preparation:

    • Accessing the bone graft site, which may involve gently pushing back gum tissue.
  3. Placing the Bone Graft:

    • Positioning the bone graft material at the designated site.
  4. Securing the Graft:

    • Possibly using membranes, sutures, or other means to secure the graft material.
  5. Closure:

    • Stitching up the surgical site.

Recovery Period

  1. Initial Healing:

    • Managing post-surgical discomfort, swelling, and adhering to dietary recommendations.
  2. Hygiene Care:

    • Following guidelines for oral hygiene to prevent infection without disturbing the graft site.
  3. Follow-Up Appointments:

    • Monitoring the healing process and ensuring successful graft integration.

Osseointegration

  1. Bone Fusion:

    • Allowing sufficient time for the graft to fuse with the natural bone, which can take several months.
  2. Regular Checks:

    • Ongoing assessments to confirm successful osseointegration before proceeding to the next steps.

Before And After

SEE OUR RESULTS

Patient Stories

I lost my two front teeth whilst at school and had complications for years. Unfortunately I ended up needing an implant – which I had been avoiding! I wish I had done it sooner. Dr Javier was fantastic and guided me through each stage. He was always contactable to answer any queries or concerns. Very happy with the end result and would recommend.
Sarah Thompson
A great surgery; Dr Javier in particular spent time with me to make sure my new night guards fitted well and were up to the job
Paul Rand
The Dental Implant Institute has been an excellent dentist surgery that I have been attending as a patient for many years. When I was young I didn’t have a pleasant experience with my local dentist on more than one occasion. I found the dentist at The Dental Implant Institute very reassuring and comforting. The management and reception were also very welcoming.
Irene Braswell

FAQs

There is little to no pain associated with a bone graft because the dentist will sedate the patient throughout the entire process. Even when the graft is healing, there should not be any pain. Once the graft has healed, the patient will be ready for their implants.
Recovery time depends on the injury or defect being treated and the size of the bone graft. Your recovery may take 2 weeks to 3 months. The bone graft itself will take up to 3 months or longer to heal. You may be told to avoid extreme exercise for up to 6 months.
Bone grafting is possible because bone tissue has the ability to regenerate completely if provided the space into which it has to grow. As natural bone grows, it generally replaces the graft material completely, resulting in a fully integrated region of new bone.

Bone grafting is rooted in the principles of osseointegration, a process where the grafted bone integrates with existing bone, creating a stable foundation for dental implants. It is crucial in cases where patients have insufficient natural bone to support an implant. By enhancing bone density and volume, bone grafting ensures the long-term success of dental implants by providing a secure anchor for them to fuse with the surrounding bone.

Autografts use the patient’s own bone, allografts come from human donors, xenografts from animals, and synthetic materials are man-made. The choice depends on factors like the patient’s health, the location of the graft, and the desired outcome. Autografts are preferred for their compatibility, but allografts and xenografts are more readily available. Synthetic materials are chosen for specific cases based on their biocompatibility and stability.

Modern imaging techniques like cone-beam computed tomography (CBCT) and digital impressions offer detailed, three-dimensional views of the patient’s oral structures. These tools aid in assessing bone quality, quantity, and identifying any anatomical challenges. They are pivotal in planning precise implant placement, ensuring minimal invasiveness, and reducing the risk of complications.

Severe atrophy or complex anatomical issues often require advanced solutions. Guided bone regeneration involves using barrier membranes to promote controlled bone growth. Block grafts use larger pieces of bone, often harvested from the patient’s body. Computer-assisted implant planning ensures precise positioning, enhancing the effectiveness of grafting procedures.

Regenerative technologies, including growth factors like platelet-rich plasma (PRP) and stem cell therapies, stimulate tissue healing and bone regeneration. They are often integrated into grafting procedures to accelerate recovery and improve graft integration. Biocompatible materials enhance the stability of grafts and promote natural tissue growth.

Postoperative care includes strict adherence to instructions, such as diet restrictions and oral hygiene. Regular follow-up appointments allow clinicians to monitor healing progress and make necessary adjustments. This meticulous care ensures the graft’s stability and, subsequently, the success of the dental implant.

Minimally invasive techniques, such as laser-assisted bone grafting and Piezosurgery, are advanced methods that reduce trauma to surrounding tissues, leading to less discomfort, quicker healing, and lower risk of complications. These techniques are part of a comprehensive approach that prioritizes patient comfort and safety during the recovery process.

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